静脉留置针留置时间对白兔耳缘静脉中炎症因子、氧化应激指标及凝血因子的影响

Influences of indwelling time of venous indwelling needle on inflammatory factors, oxidative stress indexes and coagulation factors in the ear vein of white rabbits

  • 摘要:
    目的 探讨静脉留置针的不同留置时间对白兔耳缘静脉中炎症因子、氧化应激指标及凝血因子的影响。
    方法 将40只新西兰白兔随机分为对照组、留置4 d组、留置6 d组和留置8 d组, 每组10只。留置组用静脉留置针刺破白兔的耳静脉。留置后第4、6和8天取血和耳静脉标本,检测血常规。采用酶联免疫吸附试验(ELISA)检测耳静脉血管组织白细胞介素(IL)-1、IL-6和肿瘤坏死因子-α(TNF-α)水平及血清血栓素B2(TXB2)、6-酮-前列腺素F1a(6-keto-PGF1a)、内皮素1(ET-1)水平。采用生化法检测耳静脉血管组织丙二醛(MDA)水平和超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)活性。苏木精-伊红(HE)染色观察兔耳静脉血管组织病理学变化。
    结果 与另外3组相比,留置8 d组白细胞(WBC)、血小板(PLT)、中性粒细胞百分比(Gran)、IL-1、IL-6、TNF-α、MDA、TXB2、ET-1水平及血管炎症反应程度和血栓发生率升高, SOD、GSH-Px活性、6-keto-PGF1a水平降低,差异有统计学意义(P < 0.05)。
    结论 静脉留置针留置时间超过6 d后,耳静脉中炎症因子增多,并可诱导氧化应激,促进静脉炎和血栓形成。

     

    Abstract:
    Objective To investigate the influences of different indwelling time of venous indwelling needle on inflammatory factors, oxidative stress indexes and coagulation factors in the ear vein of white rabbits.
    Methods Forty New Zealand white rabbits were randomly divided into control group, 4-day indwelling group, 6-day indwelling group and 8-day indwelling group, with 10 rabbits in each group. In the indwelling groups, the ear vein of the rabbit was punctured with intravenous indwelling needles. Blood and ear vein samples were collected on the 4th, 6th and 8th days after indwelling, and blood routine tests were performed. Enzyme Linked Immunosorbent Assay (ELISA) was used to detect the levels of interleukin (IL)-1, IL-6 and tumor necrosis factor alpha (TNF-α) in ear vein vascular tissue and levels of serum thromboxane B2 (TXB2), 6-keto-prostaglandin F1a (6-keto-PGF1a) and endothelin 1 (ET-1). Biochemical methods was used to measure the levels of malondialdehyde (MDA), the activities of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) in ear vein vascular tissue. Hematoxylin and eosin (HE) staining was used to observe the histopathological changes of rabbit ear veins.
    Results Compared with the the other three group, the levels of white blood cells (WBC), platelet (PLT), neutrophilic granulocyte percentage (Gran), IL-1, IL-6, TNF-α, MDA, TXB2, ET-1, the degree of vascular inflammation and the incidence of thrombosis were significantly increased in the 8-day indwelling group, while the activity of SOD, GSH-Px and the level of 6-keto-PGF1a were significantly decreased(P < 0.05).
    Conclusion Indwelling time of indwelling needles for more than 6 days will increase inflammatory factors in ear veins, induce oxidative stress, and aggravate phlebitis and thrombosis.

     

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